Номер актовой записи при рождении | Указывается номер актовой записи, содержащийся в свидетельстве о рождении | Заполняется при предъявлении свидетельства о рождении |
Идентификационный номер налогоплательщика (при наличии) | Указывается идентификационный номер налогоплательщика | Допускается отсутствие данного реквизита |
Номер актовой записи при рождении | Указывается номер актовой записи, содержащийся в свидетельстве о рождении | Заполняется при предъявлении свидетельства о рождении |
Идентификационный номер налогоплательщика (при наличии) | Указывается идентификационный номер налогоплательщика | Допускается отсутствие данного реквизита |
1.3.2.3.1 | НомерАктовойЗаписи | Элемент | xs:normalizedString | Нет | Максимальная длина: 24 | Номер актовой записи при рождении Обязателен при значении компонента "ТипУдостоверяющего" = СВИД О РОЖД |
1.3.2.3.2 | ИНН физического лица | Элемент | ТипИНН | Нет | Шаблон: \d{12} | Индивидуальный номер налогоплательщика Тип описан в таблице 2 |
1.3.2.7.1 | НомерАктовойЗаписи | Элемент | xs:normalizedString | Нет | Максимальная длина: 24 | Номер актовой записи при рождении Обязателен при значении компонента "ТипУдостоверяющего" = СВИД О РОЖД |
1.3.2.7.2 | ИНН физического лица | Элемент | ТипИНН | Нет | Шаблон: \d{12} | Индивидуальный номер налогоплательщика Тип описан в таблице 2 |
1.3.2.11.1 | НомерАктовойЗаписи | Элемент | xs:normalizedString | Нет | Максимальная длина: 24 | Номер актовой записи при рождении Обязателен при значении компонента "ТипУдостоверяющего" = СВИД О РОЖД |
1.3.2.11.2 | ИНН физического лица | Элемент | ТипИНН | Нет | Шаблон: \d{12} | Индивидуальный номер налогоплательщика Тип описан в таблице 2 |
Форма АДВ-1 | Код по ОКУД |
Анкета зарегистрированного лица
Заполняется печатными буквами
┌────────────────────────────────────────────────────────────────────────────────────────────┐
│Фамилия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Имя ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Отчество (при наличии) ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Пол ._. (м/ж) │
│Дата рождения "._._." ._._._._._._._._. ._._._._. года │
│Место рождения: │
│ город (село, деревня, ...) ._._._._._._._._._._._._._._._._._._._._._. │
│ район ._._._._._._._._._._._._._._._._._._._._._. │
│ область (край, республика, ...) ._._._._._._._._._._._._._._._._._._._._._. │
│ страна ._._._._._._._._._._._._._._._._._._._._._. │
│Гражданство ._._._._._._._._._._._._._._._._._._._._._. │
│Адрес постоянного места жительства │
│Адрес индекс ._._._._._._. адрес ._._._._._._._._._._._._._. │
│регистрации ._._._._._._._._._._._._._._._._._._._._._._._. │
│ ._._._._._._._._._._._._._._._._._._._._._._._. │
│Адрес места индекс ._._._._._._._. адрес ._._._._._._._._._._._._. │
│жительства ._._._._._._._._._._._._._._._._._._._._._._._. │
│фактический ._._._._._._._._._._._._._._._._._._._._._._._. │
│ (заполнять при отличии от адреса регистрации) │
│Телефоны ._._._._._._._._._._._._._._._._._._._._._._. │
│ (домашний и/или рабочий) │
│Документ, удостоверяющий личность │
│Вид документа ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ (указать вид документа, удостоверяющего личность, в соответствии с│
│ законодательством Российской Федерации) │
│Серия, номер ._._._._._._._._._._._._._._._._._._._. │
│Дата выдачи "._._." ._._._._._._._._. ._._._._. года │
│Кем выдан ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Номер актовой записи при рождении ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│(заполняется при предъявлении свидетельства о рождении) │
│ │
│Идентификационный номер налогоплательщика (при наличии) ._._._._._._._._._._._._._._._. │
└────────────────────────────────────────────────────────────────────────────────────────────┘
Дата заполнения Подпись зарегистрированного лица
(представителя)
"._._." ._._._._._._._._. ._._._._. года ________________________________
Форма АДВ-2 | Код по ОКУД |
Заявление об изменении анкетных данных зарегистрированного лица,
содержащихся в индивидуальном лицевом счете
Заполняется печатными буквами
┌────────────────────────────────────────────────────────────────────────────────────────────┐
│Страховой номер ._._._. - ._._._. - ._._._. ._._. │
│Ф.И.О., указанные в документе, подтверждающем регистрацию в системе индивидуального│
│(персонифицированного) учета │
│Фамилия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Имя ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Отчество (при наличии) ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Новые анкетные данные (указать только изменившиеся данные) │
│Фамилия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Имя ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Отчество (при наличии) ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Пол ._. (м/ж) │
│Дата рождения "._._." ._._._._._._._._._ ._._._._. года │
│Место рождения: │
│ город (село, деревня, ...) ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ район ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ область (край, республика, ...) ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ страна ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Гражданство ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Адрес постоянного места жительства │
│Адрес индекс ._._._._._._._. адрес ._._._._._._._._._._._._. │
│регистрации ._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ ._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Адрес места индекс ._._._._._._. адрес ._._._._._._._._._._._._._. │
│жительства ._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│фактический ._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ (заполнять при отличии от адреса регистрации) │
│Телефоны ._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ (домашний и/или рабочий) │
│Документ, удостоверяющий личность │
│Вид документа ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ (указать вид документа, удостоверяющего личность, в соответствии с│
│ законодательством Российской Федерации) │
│Серия, номер ._._._._._._._._._.___._._._._._._. │
│Дата выдачи "._._." ._._._._._._._._. ._._._._. года │
│Кем выдан ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Номер актовой записи при рождении ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│(заполняется при предъявлении свидетельства о рождении) │
│Идентификационный номер налогоплательщика (при наличии) ._._._._._._._._._._._._. │
└────────────────────────────────────────────────────────────────────────────────────────────┘
Дата заполнения Подпись зарегистрированного лица
(представителя)
"._._." ._._._._._._._._. ._._._._. года ________________________________
Форма АДВ-3 | Код по ОКУД |
Заявление о выдаче документа, подтверждающего регистрацию
в системе индивидуального (персонифицированного) учета
Заполняется печатными буквами
┌────────────────────────────────────────────────────────────────────────────────────────────┐
│Данные, указанные в документе, подтверждающем регистрацию в системе индивидуального│
│(персонифицированного) учета │
│ │
│Фамилия ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Имя ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Отчество (при наличии) ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ │
│Пол ._. (м/ж) │
│Дата рождения "._._." ._._._._._._._._._._._._._._. года │
│Место рождения: │
│ город (село, деревня, ...) ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ район ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ область (край, республика, ...) ._._._._._._._._._._._._._._._._._._._._._. │
│ страна ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Гражданство ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Адрес постоянного места жительства │
│Адрес индекс ._._._._._._. адрес ._._._._._._._._._._._._._. │
│регистрации ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Адрес места индекс ._._._._._._. адрес ._._._._._._._._._._._._._. │
│жительства ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│фактический ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ (заполнять при отличии от адреса регистрации) │
│Телефоны ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ (домашний и/или рабочий) │
│Документ, удостоверяющий личность │
│Вид документа ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ (указать вид документа, удостоверяющего личность, в соответствии с│
│ законодательством Российской Федерации) │
│Серия, номер ._._._._._._._._._. ._._._._._._. │
│Дата выдачи "._._." ._._._._._._._._. ._._._._. года │
│Кем выдан ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│ ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│Номер актовой записи при рождении ._._._._._._._._._._._._._._._._._._._._._._._._._. │
│(заполняется при предъявлении в качестве документа, удостоверяющего личность,│
│свидетельства о рождении) │
│Идентификационный номер налогоплательщика (при наличии) ._._._._._._._._._._._._._. │
└────────────────────────────────────────────────────────────────────────────────────────────┘
Дата заполнения Подпись
"._._." ._._._._._._._._. ._._._._. года зарегистрированного лица _______
(представителя)
Заполняется страхователем (работодателем)
┌─────────────────────────────────────────────────────────────────────────┐
│Заверяю, что зарегистрированное лицо имеет открытый индивидуальный │
│лицевой счет со страховым номером ._._._. - ._._._. - ._._._. ._._., │
│на основании которого сведения о его стаже и заработке │
│представлялись/будут представлены в ПФР. │
│ (ненужное зачеркнуть) │
│ │
│Наименование должности руководителя Подпись Расшифровка подписи│
│ │
│Дата │
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